Overview
- UNAIDS reports abrupt 2025 cuts have upended HIV services, with OECD estimates showing external health financing down 30–40% from 2023.
- Failing to restore programmes could result in 3.3 million additional HIV infections between 2025 and 2030, according to UNAIDS modeling.
- WHO urges African governments to boost domestic investment and embed HIV care in primary health systems to safeguard gains as aid-dependent programmes strain.
- Financing gaps are widening, with the Global Fund raising just over €9 billion against a €15 billion need and overall health aid down 22% this year, driving prevention cutbacks and community service closures.
- New long-acting options such as WHO‑recommended lenacapavir are beginning public rollouts in South Africa, Eswatini and Zambia, yet constrained supply and pricing limit reach as 40.8 million people live with HIV and 630,000 died in 2024.